Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest Eye Clinic, LLC

Organization Ophthalmology Physician · NPI 1992044432

Northwest Eye Clinic, LLC is an Ophthalmology Physician in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472
Phone: (763) 416-7600
Fax: (763) 416-7634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 360 (MN)

Record details

NPI number1992044432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Pettengill — Credentialing And Data Management · (763) 416-7629
NPI enumeratedFebruary 4, 2013
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020
Mailing address8401 Golden Valley Rd Ste 330, Golden Valley, MN 55427-4488

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